LONG-TERM EFFECT
• Increased national maternal mortality rate
• Reduced life expectancy of women
• Orphaned children / fragile families
• Intergenerational poverty
• Lower community socio-economic development
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Direct Effects
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• Increased hospital emergencies
• Higher newborn complications and deaths
• Reduced household productivity
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====================== CENTRAL PROBLEM ======================
**High death rates among pregnant and post-natal women**
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Direct Causes
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• Severe bleeding (postpartum hemorrhage)
• Infections (sepsis)
• Unsafe deliveries
• Hypertension/eclampsia
• Obstructed labor
• Poor management of complications
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Underlying Causes
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• Delay in seeking skilled care (lack of awareness)
• Poor antenatal and postnatal attendance
• Limited access to skilled birth attendants
• Long distance to health facilities
• Shortage of essential medicines and supplies
• Poor referral systems
• Cultural practices discouraging facility delivery
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Root Causes
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• Poverty and low household income
• Inadequate health infrastructure
• Underfunded maternal health programs
• Shortage of trained health workers
• Gender inequality and low female autonomy
• Weak healthcare policies and governance
LONG-TERM GOALS-
• Reduced national maternal mortality rate
• Increased life expectancy for women
• Stable families and reduced orphanhood
• Break in intergenerational poverty
• Improved community socio-economic development
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Immediate Outcomes
• Fewer hospital emergencies
• Reduced newborn complications and deaths
• Increased household productivity
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======================= CORE OBJECTIVE =======================
**Significantly reduced deaths among pregnant and post-natal women**
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Direct Objectives
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• Prevent and manage postpartum hemorrhage
• Prevent and treat maternal infections (sepsis)
• Ensure safe and skilled deliveries
• Early detection and management of hypertension/eclampsia
• Timely management of delivery complications
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Underlying Objectives
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• Increase awareness and timely care-seeking
• Improve antenatal and postnatal attendance
• Expand access to skilled birth attendants
• Improve transport and access to health facilities
• Ensure continuous availability of essential medicines
• Strengthen referral systems
• Promote cultural acceptance of facility-based delivery
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Root Strategies
• Reduce poverty and strengthen women's economic capacity
• Improve health infrastructure and equipment
• Increase funding for maternal health programs
• Train and retain more skilled health workers
• Promote gender equality and women’s decision-making power
• Strengthen healthcare policies and governance systems